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395 Cards in this Set
- Front
- Back
erect with heels and toes together, palms forward, thumbs out (considered to be 0o for most joints except forearm)
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anatomical position
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Quadruped position assumed by
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i.Flex hips and arms to 90
ii.Laterally rotate hips iii.Rotate forarms to neutral position iv.Extend wrists v.Quadruped position aligns peripheral body structures with the spinal levels which innervate them! (i.e. the innervation of the thumb is higher than the innervation of the pinky) |
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splits body into equal right and left portions
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Median/midsagittal
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parallel to midsagittal; splits body into unequal right and left portions
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Sagittal/parasagittal
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splits body into anterior and posterior portions
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Coronal/frontal
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splits body into superior and inferior portions (can be thru arm/extremities, not always thru the trunk)
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Horizontal/transverse
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, spine, sternum, ribs, clavicle (trunk & head)
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axial skeleton
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limb girdles and limbs (hip, shoulder, arm, leg, hands, feet)
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Appendicular skeleton
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arm (humerus) forearm (radius and ulna) hand
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upper limb
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thigh (femur) leg (tibia and fibula) foot
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Lower limb
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all along long axis
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longitudinal
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cross sections
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tansverse
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diaginal cross section, slicing through anatomical body
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oblique
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rotational mvmt in saggital plane bringing ventral surfaces toward another
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flexion/extension
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away or toward
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abduction/adduction
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bone landmarks:
linear elevation |
line, ridge, crest
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bone landmarks:
rounded elevations |
tubercle, protuberance, trochanter, tuberosity, mallelus
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bone landmarks:
sharp elevtions |
spine, process
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bone landmarks:
articular areas |
facet, head, condyle
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bone landmarks:
depressions |
fossa, groove, scapular notch
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bone landmarks:
hole through bone |
foramen, canal
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suture, syndesmosis
flat bones of cranuum, interosseus membrane btwn radius and ulna no mvmt |
fibrous joint
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synchondrosis, symphysis
epiphyseal growth plate, pubic symphysis, manubriosternal joint, intervertebral discs all along midline limited mvmt |
cartilaginous joints
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joints with a great range of motion
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synovial joints
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connects muscle to bone
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tendon/ aponeurosis
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acts on moveable joints, preforms or helps perfrom same joint motion as the agonist
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synergist
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prevents any unecessary movement, stabilizes one part of body while the other is in motion
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fixator
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cervical dermatome level
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upper limbs
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lumbar dermatome level
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anterior leg and greater toe
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sacral dermatome level
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pinky toe, genetalia and anus
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what is innervated by the posterior/dorsal primary ramus?
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all true back muscles (deep)
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what is innercated by the anterior/ventral primary ramus?
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superficial back muscles
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are primary rami motor or sensory or both?
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both
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are nerve rootes motor, sensory, or both?
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either motor OR sensory
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name the superficial structures of the back from superficial to deep
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epidermis, dermis, superficial fascia, deep fascia, musclature
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what are teh two superficial back muscles?
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trapezius and latissimus dorsi
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what is the trapezious innervated by?
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spinal accessory n, and spinal n c3&4
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where does the trapezious originate?
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ligamentum nuchae and spinous processes of C7-t12
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where does the trapezious insert?
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spine of scapula, acromion, and lateral 1/3 of clavicle
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what action does the trapezious do?
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moved the pectoral girdle
extends the head, elevates, retract upwardly rotate and depress the scapula |
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what is the latissimus dorsi innervated by?
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thoracodorsal nerve
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where does the latissimus dorsi originate from?
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spinous processes of t6 and lower, thoracolumbar fascia, illiac crest and lower ribs
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where does the latissimus dorsi instert?
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onto the floor of the interubercular groove of the humerous
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what is the action performed by latissimus dorsi?
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extend, adduct, and medially rotate the arm
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what 2 muscles comprise the deeper layer of back muscles
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rhomboid major and minor and levator scapulae
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what does teh dorsal scapular nerve innervate?
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rhomboid major and minor, levator scapulae
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where do the rhomboids originate
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spinous processes of c7-t5
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where do the rhomboids insert?
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medial border of the scapula
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what action do the rhomboids perform?
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retract and downwardly rotate the scapula
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what muscles comprise the deepest layer of the superficial muscles of the back?
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serratus posterior minor and major
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what muscles on the back do branches of the intercostal n innervate?
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serratus posterior superior and inferior
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where can serratus posterior superior be found?
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deep to rhomboids
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what does serratus posterior superior do?
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weakly elevate the upper ribs
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where can serratus posterior inferior be found
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deep to latissimus dorsi
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what does serratus posterior inferior do?
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depresses lower ribs
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what are the true deep back muscles contained in?
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thoracocolumbar fascia
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what occupies the space btwn spinous processes of vertebrae and angles of the ribs?
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true deep back muscles
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what are teh only muscles that are supplied by posterior primary rami?
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true deep back muscles
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what muscles' superficial components diverge cranially, act together to extend the spine but unilaterally to laterally flec or rotate teh spine/head toward the ipsilateral side?
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true deep back muscles
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where does splenious capitis and cervices originate from?
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inferior hald of ligamentum nuchae and spinous processes of cervicals and upper thoracics
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where does splenious capitis insert?
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mastoid process/occipital bone
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where does splenious cervices insert?
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transverse processes of upper cervicals
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OILS are part of what muscle group?
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sacrospinalis (erector spinae)
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What does OILS stand for?
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Outside
Illiocostalis Longissimus Spinalis |
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what muscles converge cranially, act together to extend the spine, but seperately to rotate the spine toward the contralateral side?
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deeper, intrinsic componenets (transversospinalis group)
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where does teh semispinalis capitis, cervicis and thoracis originate from?
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upper half of spine
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what does the semispinalis capitis, cervicis and thoracis do?
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important in holding the head up
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what muscle is heaviest in the lumbar region of the spine, whose fibers typically span 3 segments and caudally attach at mammillary process but cranially at spinous processes
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multifidus
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what muscles are deep and short and cross one are 2 spaces, are unisegmental and stabilize rather than produce movement?
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rotatores
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what does longus mean?
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crosses 2 spaces
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what does brevis mean?
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crosses one segement
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what muscles are not actually back muscles, are a series of 12, are rib elevators, have longus and brevis segments, superomedially attach at a tip of a transverse process, inferiorly attach at the outer surface of a rib and are innervated by an intercostal nerve?
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levatores costarum
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what does the superficial fascia of the neck contain?
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platysma
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what muscle lines the superficial thorax and functions to move the skin, is continuous with muscles of facial expression and is innervated by CN VII (facial n)?
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platysma
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what layer of neck fascia encircles the entire neck, splits to enclose the SCM and trapezious muscles?
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deep fascia
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what layer of neck fascia surrounds the posterior compartment of the neck, contains cervical spinal column and its muscles?
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prevertebral fascia
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what layer of neck fascia contains the trachea, esophagus, and thyroid gland (anterior portion of the neck)?
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pretracheal fascia
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what layer of neck fascia contains the common carotid a, internal jugular vein and CN X (vagus n)
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carotid sheath
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describe the pathway of the vertebral artery
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arises from subclavian artery
ascends through transverse foramino of upper 6 cervicals, passes medially over superior surface of persterior arch on the atlas, peirces dura mater, enters the skull via for formen magnum |
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what does the vertebral artery supply?
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vertebrobasilar system; brainstem cerebellum and occipital lobe
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describe the pathway of the spinal accesory nerve
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arises from C1-5 level
ascends through formen magnm, descends to pass out of the skull via jugular foramen to supply SCM and trapezious |
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what nerve is a major landmark of the posterior cervical triangle?
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spinal accessory nerve
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what 3 muscles create the borders of the suboccipital triangle?
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superior oblique, inferior oblique and rectus capitis posterior major
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which muscle is from the transverse process of atlas to the skull?
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superior oblique
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which muscle is fromt he spine of axis to the transverse process of atlas and can rotate the atlas and head ipsilaterally?
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inferior oblique
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which muscle is from the spine of axis to the skull?
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rectus capitis posterior major
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what are the contents of the suboccipital triangle?
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suboccipital nerve, vertebral artery
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what does the suboccipital nerve innervate?
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superior oblique, inferior oblique, rectus capitis posterior minor and major, overlying segment of semispinalis capitis
MOTOR FIBERS ONLY |
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what makes up the roof of the suboccipital triangle?
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deep surface of semispinalis capitis
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what composes the floor of the suboccipital ltriangle?
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posterior arch of atlas and atlanto-occipital membrane
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where does the occipital artery enter the suboccipital triangle region?
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just lateral to the superior oblique
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where does SCM originate and insert?
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inserts on mastoid process
originates onto sternum and clavicle |
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what is the function of SCM?
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protaect major blood vessels win carotid sheath
sperates anterior and posterior cervical triangles both contract: flex cervical spine unilateral contraction: produces ipsilateral flexion and contralateral rotation of the head |
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aka wry neck or loxia, which is a condition in whcih the neck is twisted so that the head is tilted to one side with the chin pointed in the opposite direction
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torticollis
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why is the posterior cervical triangle important?
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key position as the gateway to the upper limbs
upper limbs, diaphragm all develop int he neck and carry their nerve innervations with them as they grow and this pattern is shown in the posterior cervical triangle |
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what are the boundaries of the posterior cervical triangle
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trapezius, SCM and clavicle
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what crosses the posterior cervical triangle to sepreate it into the superior carefree zone and the inferior careful zone
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spinal accessory n
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what muscles's inferior portion is found in the inferior portion of the triangle
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omohyoid
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what superficial structures of the posterior cervical triangle emerge from the posterior edge of the SCM?
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greater auricular n (accompanies external jugular)
lesser occipital n (to scalp) transverse cervical n |
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what superficial structure of the posterior cervical triangle emerge and go downward from c3-c4?
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medial supraclavicular n
lateral superclavicular n intermediate superclavicular n |
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what are the superficial structure of the posterior cervical triangle? (8)
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external jugular v
cutaneous n greateer auricular n lesser occipital n transverse cervical n medial supraclavicular n lateral supraclavicular n intermediate superclavicular n |
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what are the muscles deep to the floor of the posterior cervical triangle? (5)
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spelnius
small portion of semispinalis capitis levator scauplae scalenus anterior subclavius |
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what muscles that are deep to the floor of the posterior cervical triangle are supplied by posterior primary rami?
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splenius
semispinalis capitis |
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what muscles that are deep to the floor of the posterior cervical triangle are supplied by anterior primary rami?
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leavator scapulae
scalenus anterior subclavius |
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what important nerve emerges btwn scalenus anterior and scalenus medius in the posterior cervical triangle?
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upper part of the brachial plexus
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what important nerve descends on the anterior surface of scalenus anterior in the posterior cervical triangle?
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phrenic nerve
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what blood vessel passes anterior to scalenus anterior and drains the upper limb? in the posterior cervical triangle?
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sublclavian v
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what blood vessel passes behind scalenus anterior and is protexted from trauma by scalenus' position in the front?
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subclavian a
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what blood vessel arises fromt he thyrocervical trunk and supplie muscles on the posterior surface of the scapula in the posterior cervical triangle?
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suprascapular a
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what blood vessel arises from the the thyrocervical trunk which is a branch of the subclavian a in the posterior cervical triangle?
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superficial cervical a
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about 1/3 of the time BLANK and BLANK arise from theyrocervical trunck and together are teh transverse cervical artery which then splits into a superficial branch, BLANK, and a deep branch, BLANK
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superficial: superficial cervical a
deep: dorsal scapular a |
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which part of the spine keeps the original curvatures from early on in development?
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thoracic and scaral
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which part of the spine develops a secondary curvature?
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cervical and lumbar
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how many vertebrae do adults have
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24
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how many vertebrae do children have?
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33
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how are teh vertebrae in adults seperated?
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7 cervical
12 thoracic 5 lumbar 5 fused sacral 4 coccygeal |
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what is an exaggerated thoracic curve often seen in old age?
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kyphosis
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what part of a typical vertebra is this:
anterior componenet, largeley cylindrical, flat on top and bottom |
vertebral body
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what part of a typical vertebra is this:
bar of bone projecting posteriorly from the boy- forms anterolateral part of the neural arch |
pedicles
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what part of a typical vertebra is this:
plates of bone that contunue posteriorly from pedcles- fuse in median plane to complete the neural arch |
laminae
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what is the condition in which laminae fail to close; in more severe cases, out-pouching of meninges and neural tissue can occur
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spina bifida
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what part of a typical vertebra is this:
extend posteriorly from pt of union of laminae- bumps that you can palpate down the spine |
spinous processes
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what part of a typical vertebra is this:
lateral extensions of the vertebra from pt of unions btwn laminar and pedicle-along with spinous processes serve as major pt of attachement for muscles and ligaments |
transverse processes
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what part of a typical vertebra is this:
project superiorly and inferiorly from jnt of pedicles and laminae- surface of BLANK of superior BLANK faces somewhat posteriorly while the BLANK of the inferior BLANK faces anteriorly |
articular processes
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ring of bone with two lateral masses with superior and inferior facets
no body no spinus processes- instead have anterior and posterior tubercle |
atlas C1
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large dens (odontoid process) which projects superiorly to articulate with the atlas
(spinal cord is just posterior to dens, so stability with respect to the skull and atlas is very important) |
axis (C2)
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bifid spinus processes
short transverse processes transverse foramina for vertebral a lateral elevations on superior surface of body=uncinate processes- bowl shaped appearence |
lower 5 cervical vertebrae
C7 does not have a bifid spinus process |
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articular facets for ribs
articular cartilage located on perterolateral parts of vertebral bodies and transverse processes long, downward sloping spinus processes |
thoracic vertebrae
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large bodies
no transverse foramina no costal facets rectangular spinous processes mammillary processes )for attachment of multifidis) |
lumbar vertebrae
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which ligament:
runs from c7-sacrum connects apices of spinous processes easily palpated bc its subcutaneous most posterior ligament |
supraspinous ligament
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which ligament:
is relatively weak, and runs directly btwn spinous processes |
interspinous ligament
|
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which ligament:
very elastic connective tissue connects neighboring vertebrae lamina to lamina spring returns built in chiropractor stretch during spinal flexion prevent pinching of dura mater btwn laminae during extension |
ligamenta flava
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which ligament:
posterior to weight bearing pillar of spine not posterior to actual spinal cord runs along posterior surgaces of vertebral bodies and discs narrows from L1 to S1 so that it is only 1/2 as wide at low lumbar, which explains high number of lumbar disc herniations |
posterior longitudinal ligament
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high cervical continuation of posterior longitdinal ligament, just posterior to ligaments
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tectorial membrane
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which ligament:
very strong and wide runs along anterior ascpect of anterior pillar of spine only ligament with function to RESTRICT HYPTEREXTENSION of the spine |
anterior longitudinal ligament
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which ligament:
from apex of dens to anterior margin of foramen magnum |
apical ligament
|
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which ligament:
from lateral aspects of dens to medial aspects of occipital condyles (wings) |
alar ligaments
|
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which ligament:
runs posterior to dens to attach to tubercles at medial aspects of lateral masses of atlas represents horizontal componenet of cruciate (cruciform) ligament |
transverse ligament of axis
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outermost meminge
tough, dense sleeve of connective tissue covering spinal cord extends from foramen magnum to coccyx |
dura mater
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middle meninge
delicate, webslike membrane loosely surrounds the spinal cord |
arachnoid mater
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innermost meninge
thin membrane clings tightly to surface of the spinal cord |
pia mater
|
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which ligament:
tethers the spinal cord win the dura mater, arises fron lateral aspects of the spinal cord at regular intervals |
denticulate ligaments
|
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what is the tapered cone shaped caudal end of the spinal cord proper
composed of sacral and coccygeal cord segements, but lies at bony L1-L2 bc column continues to grow well after the spinal cord growth ends |
conus medullaris
|
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what is the horses tail
posterior and anterior nerve rootst hat descent win memingeal sheaths until they oin to form respective spinal nerces at intervertebral foramina |
cauda equina
|
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what is a filament of pia mater that extends from top of conus medullaris to the termination of the spinal cord
|
filum terminale interna
|
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what is located btwn vertebral bodies composed of annulus fibrosus and nuleus pulposus (fibrocartilage and gleatinous core respectively)
discs deforms to allow spinal mvmt categorized as cartilaginous joints |
intervertebral discs
|
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what exists on posterior component of spine btwn facing articular processes
categorized and synovial joints |
facet joints
|
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what composes the pectoral girdle
|
scapula (coracoid process) and clavicle
|
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what composes the pelvic girdle?
|
ox coxae (ishium, illium and pubis)
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what bones make up the arm
|
humerus
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what bones make up the thigh
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femur
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what bones make up the forarm
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radius and ulna
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what bones make up the leg
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tibia and fibula
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what bones make up the wrist?
|
8 carpals
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what bones make up the ankle
|
7 tarsals
|
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what bones make up the hand and foot?
|
hand: 5 metacarpals and 14 phlanges
foot: 5 metatarsals and 14 phalnges |
|
early on limb buds are BLANK-- thumbs and great toes point cranially, elbows and knees laterally and heads of femur and humerus medially
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ventral
|
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as development occures, humberal and femoral heads retain their medial directions, but the limbs twist so that
1distal humerus is BLANK so that elbows point posteriorly 2distal femur is BLANK so that knees point anteriorly |
lateral
medial |
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what occurs at anatomical neck of humerus?
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attachment for capsule
|
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what part of the humerus is often fractured?
|
surgical neck
|
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what occurs at the greater tubercle of the humerus?
|
attch for SIT muscles (lateral)
|
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what occurs at lesser tubercle of the humerus
|
interstion for subscapularis (medial)
|
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what occurs at intertubercular sulcas (aka bicipital groove) of the humerus
|
floor is attch for latissimus dorsi, lateral edge is attch for pec major, medial edge is attachment for teres major
|
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what occurs at the spiral groove of the humerus
|
groove for radial n as well as profunda brachii a and v
|
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what occurs at the superior angle of the scapula?
|
levator scapulae attch
ass w superficial cervical a and accessory n |
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what occurs at the inferior angle of the scapula?
|
near attch of teres major and rhomboid major, attch for serratus anterior, lastissimus dorsi sometimes attch near tip
|
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what occurs at the vertebral (medial) border of the scapula?
|
rhomboids, levator scapular and serratus anterior attch
|
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what occurs at axillary (lateral) border of the scapula?
|
teres major, teres minor, and long head of triceps brachii attch
|
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what occurs at the spine of the scapula?
|
trapezius and deltoid attch, rhomboid minor also attch near base of the spine at the medial angle
|
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what occurs at the acromion process of the scapula?
|
deltoid and upper trapezius attch
|
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what occurs at the supraglenoid tubercle of the scapula?
|
long head of biceps attch
|
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what occurs at the infraglenoid tubercle of the scapula?
|
long head of triceps attch (these also attch at adjacent superior part of axillary border)
|
|
what occurs at the supraspinous fossa of the scapula?
|
origin for supraspinatus
|
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what occurs at the suprascapular notch of the scapula?
|
ass with suprascapular nerve and artery (nerve goes over/superficial to it, omohyoid attch just medial to it)
|
|
what occurs at the infraspinous fossa of the scapula?
|
origina for infraspinatus, also location of suprascapular nerve (arriving cia suprascapular notch)
|
|
what occurs at the glenoid fossa of the scapula?
|
recieves/accomodates the head of the humerus
|
|
what occurs at the scapular notch of the scapula?
|
where superscapular nerve and artery pass the lateral edge of the scapular spine
|
|
what occurs at the coracoid process of the scapula?
|
short head of biceps, coracobrachillis and pec minor attch
coraroacromial ligament |
|
what muscles connect the scapula to the axial skeleton? (5)
|
trapezius, levator scapulae
rhomboids, serratus anterior and pec minor |
|
what muscles connect the humerus to the axial skeleton? (2)
|
latissimus dorsi and sternal head of pec major
|
|
what muscles connect the humerus to the scapula? (7)
|
deltoid
supraspinatus infraspinatis teres mino subscapularis teres major coracobrachilis |
|
what muscles does the spinal accessory nerve innervate in terms of the scapula and deltoid regions? (1)
|
trapezius
|
|
what muscles does the dorsal scapular nerve innervate in terms of scapula and deltoid regions? (2)
|
levator scapulae and rhomboids
|
|
what muscles odes the long thoracic nerve innervate in terms of the scapula and deltoid regions? (1)
|
serratus anterior
|
|
what muscles does the medial pectoral nerve innervate in terms of the scapula and deltoid regions? (2)
|
pec minor and major
|
|
what muscles does the thoracodorsal nerce innervate in terms of the scapula and deltoid regions? (1)
|
latissimus dorsi
|
|
what muscles do the medial and lateral pectoral n innervate in terms of the scapula and deltoid regions? (1)
|
sternal head of pec major
|
|
what muscles do the axillary n innervate in terms of the scapula and deltoid regions? (2)
|
deltoid and teres minor
|
|
what muscles do the subscapular n innervate in terms of the scapula and deltoid regions? (2)
|
subscapularis
teres major (lower) |
|
what muscles do the muscculorcutaneous n innervate in terms of the scapula and deltoid regions? (1)
|
coracobrachialis
|
|
which artery comes from thryocervical trunk or directly from subclavian a
anastomeses (joins together w) suprescapular a, intercostal aa, and curumflex scapular branch of subscapular a? |
superficial cervical a
|
|
which artery also comes from the throcervical trunk?
|
suprascapular a
|
|
which artery arises from the 3rd or 2nd part of subclavian a
and in 1/3 of people, BLANK and superficial cervical aa will have common origin, transverse cervical a, from thyrocervical trunk |
dorsal scapular a
|
|
which artery has clavicular, acromial, deltoid and pectoral branches?
|
thoracoacromial a
|
|
which artery comes from the 3rd part of axillary a?
(axillary a begins at area of first rib) |
posterior circumflex humeral a
|
|
which artery comes from the inital part of brachial a just distal to inferior border of teres major
|
profunda brachii a
|
|
which space:
is bound by teres major/minor and long head of triceps contain circumflex scapular a |
triangular space
|
|
which space:
is bound by humerus's surgical neck, long head of triceps, capsule of shoulder joint and teres major contain axillary n and posterior humeral circumflex a |
quadrangular space
|
|
which space:
is bound by long and lateral head of triceps and inferior boreder of teres major contain radial n and profunda brachii (deep brachial) a |
trriangular interval
|
|
which bone of the pectoral region:
is most commonly fractured transmits forces from upper limb to sternum only bone of the pectoral giedle that attch to the axial skeleton via a true jt muscles that attch: trapezius, SCM, deltoid, pec major and subclavius |
clavicle
|
|
which bone of the pectoral region:
is composed of 3 bones (manubrium,body of sternum, and the xyphoid process) clavicle articulates w manubrium, as do the first 2 ribs superior end of manubrium is the suprasternal notch, which is an important landmark the jnt btwn manrubrium and body is easily palpated and marks the position of the second rib |
sternum
|
|
which muscle of the pectoral region:
clavicular head from medial part of clavicle flexes the arm sternal head from the manubrium and sternal body horizontally adducts the arm both head insert into the lateral lip of the bicipital groove of the humerus both heads are effective medial rotators of the arm |
pectoralis major
|
|
which nerve innervates pectoralis major?
|
medial and lateral pectoral nerve
|
|
which muscle of the pectoral region:
arises from ribs 3-5 and inserts into the coracoid process of the scapula function: scapular depression marks the second part of the axillary n |
pectoralis minor
|
|
which nerve innervates pectoralis minor?
|
medial pectoral n
|
|
which muscle of the pectoral region:
protects the sternoclavicular jt from traction injuries and subclavian vessels and brachial plexus in the event of a fractured clavicle holds the clavicle onto the sternum |
subclavius
|
|
what nerve innervates the subclavius m?
|
nerve to subclavius C5-C6
|
|
which blood vessel:
is one of the two principle superficial v's of the upper limb and passes through the deltopectoral triangle, before it empties into the axillary v |
cephalic v
|
|
which blood vessel:
is behind pec minor and has two aa arise from it |
2nd part of axillary a
|
|
what are the 2 branches that come off of the 2nd part of the axillary a?
|
thoracoacromial a
lateral thoracic a |
|
what 4 branches come off of the thoracoacromial a?
|
clavicular, acromial, deltoid, and pectoral
|
|
what blood vessel is important to the blood supply of the breast?
|
lateral thoracic a
|
|
which blood vessel:
runs from the lateral edge of pectoralis minor to the inferior edge of teres major? |
3rd part of axillary a
|
|
what are the 3 branches of the 3rd part of the axillary a?
|
subscapular a
anterior humeral circumflex a posterior humeral circumflex a |
|
which branch of the 3rd part of the axillary a is the largest, and what are the 2 branches that come off of it?
|
subscapular a
circumflex scapular a thoracodorsal a |
|
what makes up the floor of the axilla?
|
armpit, skin and axillary fascia
|
|
what makes up the medial wall of the axilla?
|
rib cage covered by serratus anterior
|
|
what makes up the anterior wall of the axilla? (3)
|
pectoralis major
pectoralis minor subclavius |
|
what makes up the posterior wall of the axilla? (3)
|
latissimus dorsi
teres major subscapularis |
|
what makes up the lateral wall of the axilla?
|
the anterior and posterior walls meet to form the lateral wall
|
|
what makes up the apex of the axilla?
(which opens into the posterior cervical triangle) (3) |
upper border of scapula
clavicle first rib |
|
what are the contents of the axilla? (7)
|
fat
axillary lymph nodes axillary a and v cords of brachial plexus long head of biceps brachii short head of biceps brachii coracobrachialis |
|
what are not considered nerve roots but are the anterior primary rami of C5-T1
|
roots of brachial plexus
|
|
where are the 3 trunks of the brachial plexus located?
|
upper (C5 & 6)
middle (C7) Lower (C8 & T1) |
|
where are the nerves that are derrived from roots and trunks of the brachial plexus and what do they innervate? (3)
|
dorsal scapular n (rhomboids and levator scapulae)
suprascapular n (supraspinatis and infraspinatis) long thoracic n (serratus anterior) |
|
behind the clavicle, each trunk of the brachial plexus divides into:
|
anterior and posterior divisions
|
|
in general, anterior divisions of the brachial plexus functiont to supply:
|
flexors and adductors in the axilla
|
|
where is the lateral cord of the brachial plexus derrived from?
|
upper and middle anterior divisions
|
|
what does the lateral cord give off to and what does it supply?
|
lateral pectoral n to pectoralis major
|
|
where does the medial cord of the brachial plexus derrive from?
|
lower ant division
|
|
what nerve come off of the medial cord of the brachial plexus and what do they supply?(3)
|
medial pectoral n (pec minor and major)
medial cutaneus nerve of the arm medial cutaneus n of the forearm |
|
what is the posterior cord of the brachial plexus derrived from?
|
all posterior divisions
|
|
what nerves come off of the posterior cord of the brachial plexus and what do they supply? (3)
|
upper subscapular n (subscapularis)
thoracodorsal n (latissimus dorsi) lower scapular n (subscapularis and teres major) |
|
what do the cords of the brachial plexus divide into?
|
terminal branches
|
|
what are the nerves of the terminal branches of the lateral cord of the brachial plexus and what do they innervate? (2)
|
musculocutaneus n (corcobrachialis, biceps brachii, and brachialis)
lateral root of median n |
|
what are the nerves of the terminal branches of the medial cord of the brachial plexus? (2)
|
ulnar n
medial root of median n |
|
what are the nerves of the terminal branches of the posterior cord of the brachial plexus and what do they innervate? (2)
|
axillary n (deltoid and teres minor)
radial n |
|
what are the muscles of the flexor compartment of the arm? (3)
|
coracobrachilais, biceps brachii, brachialis
|
|
what attch at the medial epicondyle and supracondylar ridge of the humerus?
|
attachment for the superficial flexor m of the forearm
|
|
what attch at the lateral epicondyle and lateral supracondylar ridge of the humerus?
|
attch for the extensor mm of the forearm
|
|
what is the big deal about the capitulum of the humerus?
|
little head articulates with the head of the radius
|
|
what is the big deal about the trochlea of the humerus?
|
articulates with the ulna
|
|
what is the big deal about the coronoid fossa of the humerus?
|
articulates with/recieves coronoid process of the ulna (anterior)
|
|
what is the big deal about the olecrenon fossa of the humerus?
|
articulates wrecives the olecrenon process of the elbow when the elbow is extended
|
|
what attch at the radial tuberosity?
|
biceps brachii
|
|
what attch at the styloid process of the radius?
|
radial collateral ligament of the wrist
|
|
what attch at the olecrenon process of the ulna?
|
triceps brachii
|
|
what is the big deal about the trochlear notch of the ulna?
|
articulates with the trochlea of the humerus
|
|
what is the big deal about the coronoid porcess of the ulna?
|
anterior point of surface articulating with medial trochlea
|
|
what attch at the ulnar tuberosity?
|
brachialis
|
|
what attch at the styloid process of the ulna?
|
ulnar collateral ligament of the wrist
|
|
what is located in the large space btwn the ulna and the carpal bones?
|
articular disc
|
|
what are the m of the flexor compartment of the ARM? (3)
|
coracobrachialis, biceps brachii, and brachialis
|
|
where does the coracobrachialis attch?
|
coracoid p of scapula to mid-humerus
|
|
what is the action of the coracobrachialis?
|
flexes the arm
|
|
where does the biceps brachii attch?
|
short head: coracoid p
long head: supraglenoid tuberosity inserts on radial tuberosity |
|
what is the action of the biceps brachii?
|
supinates and flexes bother the arm and the forearm
|
|
where does the brachialis attch?
|
humerus to tuberosity of ulna
|
|
what is the action of the brachialis?
|
flexes the forearm
|
|
what does the brachiradialis do?
|
flexes the elbow
|
|
What does Pass Fail Pass Fail stand for?
|
Superficial flexor muscles of the forearm:
Pronator teres Flexor carpi radialis Palmaris longus Flexor carpi ulnaris |
|
where do all of the superficial flexors of the the forearm have at least a partial attch?
|
humerus to assist in elbow flexion
|
|
where does the pronator teres attch and what is is action?
|
radius; pronate teh forearm
|
|
where does the flexor carpi radialis attch and what is its action?
|
attch to base of 2nd and 3rd metacarpals
flexes and radially deviates the hand |
|
where does the palmaris longus attch and what is its function (also what is it a landmark for)?
|
attch to palmer aponeurosis
flexes the hand landmark for median n |
|
where does the flexor carpi ulnaris attch and what is its action?
|
attch to pisiform, hamate, and base of 5th metacarpal
flexes and ulnarly deviates the hand |
|
what m is considered the intermediate layer of the flexor compartment of the forearm?
|
flexor digitorum superficialis
|
|
what are teh deep m of the flexor compartment of the forearm? (3)
|
flexor digitorum profundus
pronator quadratus flexor pollicis longus |
|
can the deep muscles of the flexor compartment aid in elbow flexion?
|
no, does not cross elbow joint
|
|
what does the flexor digitorum profundus do?
|
flexes are far distally as the distal interphalangeal joints
|
|
what does the flexor pollicis longus do?
|
flexes the interphalangeal joint of the thumb
|
|
how is the pollicis longus innervated?
|
medial half: ulnar n
lateral half: median n |
|
what does the pronator quadratus do?
|
primary pronator of the arm
|
|
what does the musculocutaneous n innervate?
|
three flexors of the forearm (biceps brachii, brachialis, coracobrachialis)
continues to the forearm as the lateral cutaneous n of the forearm |
|
what does the median n innervate in terms of flexor compartment of the forearm?
|
major n of the flexors of the forearm (pronantor teres, flexor carpi radialis, palmaris longus, flexor pollicis longus, radial half of flexor digitorum profundus, pronator quadratus
|
|
what does the ulnar n innervate in terms of the flexor compartment of the forearm?
|
flexor carpi ulnaris, ulnar half of flexor digitorum profundus
|
|
what does the radial n supply in terms of the anterior forearm?
|
brachioradialis
|
|
which artery is a continuation of the axillary a, near its origin gives off the profunda brachii a, near the cubital fossa, this a bifricates into radial and ulnar a
|
brachial a
|
|
which a is deep to brachoradialis throughout the forearm but becomes more subQ near wrist
|
radial a
|
|
which artery is deep in the forearm, gives off common interosseous a, which sends branches (ant and post interosseous aa) along anterior and posterior surface of interosseous membrane
|
ulnar a
|
|
what are the mm of the extensor compartment of the arm? (2)
|
triceps brachii and anconeus
|
|
where do the triceps brachii attch?
|
long head: infraglenoid tuberosity and upper part of lateral border of scapula
lateral head: posterior and lateral surfaces of humerus medial head: distally from posterior surface of humerus |
|
where does the anconeus attch?
|
lateral epicondyle of humerus to lateral edge of olecranon and posterior ulna
|
|
what are the superficial mm of the extensor group of the forearm? (6)
|
brachiradialis
extensor carpi radialis longus extensor carpi radialis brevis extensor digitorum extensor digiti minimi extensor carpi ulnaris |
|
what does teh brachioradialis do?
|
flexes elbow; active during rapid extension of the elbow (throwing*)
|
|
where do the superficial m of the forearm attch?
|
medial epicondyle and medial supracondylar ridge of humerus
|
|
where does the extensor carpi radialis longus attch?
|
base of metacarpal 2
|
|
where does the extensor carpi radialis brevis attch?
|
base of metacarpal 3
|
|
what does the extensor digitorum do?
|
extends the metacarpal-phalangeal joints of digits 2-5, also extends the proximal interphalangeal and distal interphalangeal via the extensor hood which inserts onto middle and distal phalanges
|
|
what does the extensor digiti minimi do?
|
extends finger at the metacrapal-phalangeal joint 5
|
|
what does the extensor crapi unlaris attch?
|
base of metacarpal 5
|
|
what happens when the extensor carpi ulnaris and flexor carpis unlaris work together?
|
ulnar deviation
|
|
what are the deep muscles of the extensor group of the forearm?
|
abductor pollicis longus
extensor pollicis brevis extensor pollicis longus extensor indicis supinator |
|
what are the muscles of the anatomical snuffbox? (thenar outcrop)
|
abductor pollicis longus
extensor pollicis brevis extensor pollicis longus |
|
where does teh abductor pollicis longus attch?
|
palmer surface of metacarpal 1
|
|
where does the extensor pollicis brevis attch and what does it do?
|
acch at proximal phalanx, thus producing extension at the MP joint of the thumb
extension at the MP joint of the thumb |
|
what does the extensor pollicis longus attch and what does it do?
|
attch at the distal phalanx of the thumb
produces extension at the IP joint of the thumb |
|
what does the extensor indicis do?
|
extends MP 2
|
|
where does the supinator attch?
|
arises from humerus and ulna and inserts onto the radius
|
|
for a muscle to be a supinator, where must it attch?
|
radius
|
|
what is the anatomical snuffbox bordered by?
|
abductor pollicis longus tendon (most ventral)
extensor pollicis brevis tendon (delimits ventral border) extensor pollicis longus tendon (delimits dorsal border) |
|
what is within the anatomical snuffbox?
|
radial a
|
|
what is the floor of the anatomical snuffbox?>
|
scaphoid bone
|
|
what surrounds the wrist as extensor tendons cross the joint, prevents bowstringing, and synovial shetths just deep to it decrease friction w tendons
|
extensor retinaculum
|
|
what innervates the muscles of the extensor compartment of both the arm and the forearm?
|
deep branch of radial n called posterior interosseus n
|
|
where does the posterior interosseous a come from?
|
from comon interosseous a, and branch of the ulnar artery
|
|
decribe the branching of the ulnar artery
|
ulner artery-->common interosseous branch-->anterior and posterior interosseous branches
|
|
describe the radial artery in the forearm
|
supplies superficial mm of the radial side of extensors, passes through snuffbox to reach deep palmer arch
|
|
what the proximal carpal bones from medial to lateral?
|
pisform
triquetrum lunate scaphoid |
|
what are teh distal carpal bones from medial to lateral?
|
hamate
capitate trapezoid trapezium |
|
what is the mnumonic device used to remember the carpal bones medial to lateral proximal to distal?
|
PTs Love Sex However Can't Tell Time
|
|
what is a sesamoid bone,
lies on the triquetrum, btwn tendon of flexor carpi ulnaris, hammate and base of MC5, is palpated just distal to distal crease of wrist |
pisiform
|
|
what articulates with the articular disc of ulna when in ulnar deviation (not ulna)
|
triquetrum
|
|
what articulates with the radius and articular disc of ulna
w wrist in extension, there is a visible depression over this that disappears when wrist is flexed |
lunate
|
|
what articulates with the radius, is easily fractured and doesnt heal well because of poor blood supply, and is the floor of the anatomical snuffbox
|
scaphoid
|
|
what articulates with MC4 and MC5,
large palmer protubrance called the hook of____ this hook protects the ulnar n and ulnar a |
hamate
|
|
what is at the base of MC3, transmits force from MC4 thru lunate and scaphoid to the radius
its dorsal aspect can be easily palpated |
capitate
|
|
what is at the base of 2nd MC,
transmits force from MC2 thru scaphoid to radius |
trapezoid
|
|
what participates in saddle joint movement (carpometacarpal jt of thumb)
|
trapezium
|
|
what are the two rows of carpals stabilized by?
|
crossing muscles that attch to bases of MC, compress carpals when contracted
|
|
what happens to the wrist when a tight fist is made?
|
wriste extends to lengthen long flexors for powerful actions
|
|
what happends to the heads of metacarpals 2-5 when a tight fist is made?
|
knuckles become prominent as proximal phlanges slide palmarly
|
|
what happens to collateral ligaments of MP joints when a tight fist is made?
|
they tighten, restricting abduction of fingers
|
|
what happens to MC4 and MC5 when a tight fist is made?
|
move toward the palm
|
|
when does the thumb flex/extend?
|
same plane as the hand when in anatomical position
|
|
when does the thumb abduct/adduct?
|
perpindicular plane to the hand in anatomical position (moves forward to abduct or back to anatomical position to adduct)
|
|
when does the thumb oppose/repose?
|
thumb crosses palm to oppose pinkie and back to repose
|
|
what structures pass through the carpal tunnel? (10)
|
median n
9 tendons of extrinsic flexors of digits, incl those of the thumb: -4 flxor digitorum superficialis tendons -4 flexor digitorum profundus tendons -1 flexor pollicis longus tendons |
|
what makes up the carpal tunnel?
|
the carpal bones sitting in the u-shaped arrangement and closed by the flexor retinaculum
|
|
what structures pass anterior to the flexor retinaculum
|
ulnar a and n
tendon of palmaris longus tendon of flexor carpi ulnaris tendon of flecor carpu radialis |
|
what tendons split in the digit so that the corresponding flexor digitorum superficialis can reach the distal phalanx?
|
flexor digitorum profundus
|
|
what are theonly mm that can extend the MCP joints of fingers?
|
extensor digitorum, extensor indicis, extensor digiti minimi (long extensors)
|
|
where do lumbicals attch and what do they do?
|
originate from the tendons the FDP
pull on extensor expansions to produce extension at the IP joints. however, expansions pass ventral to centers of rotation of MP joints so the lumbricals can also produce flexion at the MP joint |
|
where do interossei m insert?
|
attch in part to extensor expansions and thus assist lumbricals- arranged in two sets and inset primarily onto sides of proximal phlanges of fingers
|
|
what is the extensor mechanism of the IP joints?
|
four lumbicals and interosseous mm
|
|
how many and what do the palmer interossei do?
|
3; adduct the fingers (PAD)
|
|
how many and what do the dorsal interossei do?
|
4; abduct the fingers (DAB)
|
|
what mm is not part of the thenar eminence,
transverse head from 3rd metacarpal, oblique head from trapezium trapezoid capitate and base of MC 2 and 3. it is not considered part of the thnar eminence bc it is innervated by the ulnar n |
adductor pollicis
|
|
where do the thenar m arise from?
|
flexor retinaculum and adjacent carpals
|
|
what are teh thenar m innervated by?
|
recurrent branch of median n
|
|
what are the 3 thenar m?
|
abductor pollicis brevis
flexor pollicis brevis opponens pollicis |
|
where does the abductor pollicis brevis attch?
|
more proximal that FPB, attch at proximal phalanx
|
|
where does flexor pollicis brevis attch?
|
attch at proximal phalanx, flexes CMC and MP joints.
|
|
where does the opponens pollicis attch?
|
attch along the length of MC1, deep to abductor pollicis brevis, opposes the thumb
|
|
where do the hypothenar mm arise from?
|
flexor retinaculum and adjacent carpals
|
|
what are the hypothenar mm innervated by?
|
ulnar n
|
|
what are the 3 hypothenar mm?
|
abductor digiti minimi
flexor digiti minimi opponens digiti minimi |
|
what is the structure of synovial sheaths?
|
double walled, tubular bursae, closed at both ends, contain synovial fluid
|
|
what is the purpose of synovial sheaths?
|
decrease friction where tendons are restrained from bowstringing
|
|
what are enclosed in synovial sheaths of the hand?
|
tendons of FDS and FDP
|
|
what is the superficial palmer arch composed of?
|
principally the ulnar artery with some contribution from the radial a
|
|
where is the superficial palmer arch found?
|
deep to the palmer aponeurosis
|
|
what does the superficial palmer arch give off?
|
common palmer digital aa
|
|
what do that common palmer digital aa give off?
|
proper palmer digital aa
|
|
what is the main motor nerve supply of the hand?
|
deep branch of ulnar n which accompanies deep palmer arterial arch
|
|
the superficial nn of the hand are (sensory or motor)
|
sensory
|
|
what are teh 2 exceptions to the ulnar motor supply of the hand?
|
thenar mm and lateral 2 lumbricals are innervated by the median n
|
|
are all joints btwn two bones?
|
no, scapula and rib cage
|
|
which type of joint is relatively immobile? give an example
|
fibrous
interosseous membrane, sutures of the skull |
|
which type of joint had hyaline cartilage and or fibrocatrilage present between the bones? give an example
|
cartilaginous; pubis symphysis, epephyseal (growth) plates
|
|
which type of joint is relatively mobile? give an example
|
synovial joint; shoulder
|
|
what are three charactoristics of all synovial joints?
|
synovial cavity
articular cartilage synovial fluid |
|
what type of synovial joint is the glenohumeral joint?
|
ball and socket, multiaxial
|
|
how is the head of the humerus positioned in the glenohumeral joint?
|
superiorly, posteriorly, and medially
|
|
what is the lip of cartilage that encircles glenoid fossa, deepens it to cushion head of humerus
|
glenoid labrum
|
|
what attached at the supraglenoid tubercle?
|
biceps brachii
|
|
what attch at the infraglenoid tubercle
|
triceps brachii
|
|
what happens when the humerus is abducted past 90 degrees?
|
concomitant lateral rotation. lateral rotation brings greater tubercle posterior so it doesnt impinge the inferior acromion
|
|
in the shoulder joint, which ligaments are not very strong?
|
glenohumeral
|
|
which ligament in the shoulder helps prevent inferior movement during adduction of the arm?
|
coracohumeral
|
|
what mm help to hold the humerus in its place in the glenohumeral joint?
|
SITS, long head of triceps and biceps
|
|
which muscles help to stabilize the glenohumeral joint?
|
short, deep mm
|
|
which muscles of the shoulder are important to offset strong upward force of deltoid during abduction
|
inferior/small rotators
|
|
what is the synovial compartment between acromion and tendon of supraspinatus that reduces friction?
|
subacromial bursa
|
|
which joint is the only synovial articulation btwn pectoral girdle and the axial skeleton?
|
sternoclavicular
|
|
what ligaments stabilize the sternoclavicular joint?
|
sternoclavicular ligaments
|
|
which ligament acts as a pivot for clavicular elevation so that medial end of clavicle moves inferiorly as lateral end is elevated
|
costoclavicular
|
|
which joint is weakly supported by the acromioclavicular ligament and is indirectly stabilized by coracoclavicular ligaments?
|
acromioclavicular joint
|
|
which ligaments are what is damaged in shoudler separations?
|
conoid and trapezoid of the coracoclavicular ligaments
|
|
where is the conoid ligament located?
|
near the center (medial aspect) of the acromion
|
|
where is the trapezoid ligament located?
|
toward the top of the acromion
|
|
what type of synovial joint is the elbow?
|
uniaxial, hinge
|
|
the head of the radius articulates with what on the humerus?
|
capitulum
|
|
the troclear notch of the ulnar articulares with what on the humerus?
|
trochlea
|
|
what ligaments prevent abduction/adduction at the elbow joint?
|
collateral ligaments
|
|
which ligament prevents abduction at the elbow/ valgus of the forearm. flexor digitorum superficiales arises in part from anterior cord of this ligament
|
ulnar collateral ligament (medial)
|
|
which ligament prevents adduction at the elbow/ varus of the forearm; attch at lateral epicondyle and annular ligament of radius. superficial fibers continue distally to contribute to supinator
|
radial collateral ligament (lateral)
|
|
what are the two joint of the radius and ulna?
|
proximal and distal radioulnar joints
|
|
how does dislocations of the elbow typically occur?
|
posterior movement of the olecrenon process out of the fossa
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supination and pronation is a movement of the BLANK on the BLANK (bones)
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radius on the ulna
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what is sometimes considered the middle radioulnar joint bc it holds the 2 bones together.
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interosseous membrane
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when is the interosseous membrane taut?
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supination
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what movements is the wrist capable of?
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flex/extend abduct/adduct circum duct (NOT ROTATE)
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which ligaments attch to styloid processes of ulna and radius?
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ulnar and radial collateral ligaments of the wrist
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which ligament limits radial deviation?
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ulnar collateral of the wrist
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